Multiple Repeat Cesareans and the Threat of Placenta Accreta: Incidence, Diagnosis, Management
2011; Elsevier BV; Volume: 38; Issue: 2 Linguagem: Inglês
10.1016/j.clp.2011.03.010
ISSN1557-9840
Autores Tópico(s)Ectopic Pregnancy Diagnosis and Management
ResumoPlacenta accreta is a significant source of obstetric morbidity and mortality. Its incidence is increasing as a direct consequence of the increasing cesarean section rate, which reflects increased rates of maternal obesity , increased numbers of multiple gestations secondary to assisted reproductive technology , physician concern about litigation for adverse obstetric outcome, and a decline in the use of operative vaginal delivery for both cephalic and breech presentations. Optimum management for most cases requires elective cesarean hysterectomy , ideally performed at about 34 weeks' gestation. A multidisciplinary approach produces the best outcomes.
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